Designated
Health Professional Shortage Areas
Statistics

First Quarter of Fiscal Year 2017
Designated HPSA Quarterly Summary



As of December 31, 2016



Bureau of Health Workforce
Health Resources and Services Administration (HRSA)
U.S. Department of Health & Human Services
Table 1. Health Professional Shortage Areas: Number, Population, and Additional Practitioners
Needed for Geographic Areas, Population Groups, and Facilities as of December 31, 2016
 
           
Practitioners
Needed to
 
 
Number of
 
Population of
 
Percent of
 
Remove
 
   
Designations
(1)
 
Designated HPSAs
(2)
 
Need Met
(3)
  
Designations
  
Primary Medical HPSA Totals
6,626
  
65,898,964
   
56.77 %
(4)
  
9,376
(7)
 
Geographic Area
1,401
  
32,248,285
   
66.51 %
   
3,286
  
Population Group
1,485
  
32,432,174
   
50.59 %
   
5,297
  
Facility
3,740
  
1,218,505
   
31.99 %
   
793
  
Dental HPSA Totals
5,493
  
51,648,901
   
38.44 %
(5)
  
8,118
(8)
 
Geographic Area
699
  
14,973,209
   
57.83 %
   
1,447
  
Population Group
1,582
  
35,066,376
   
32.18 %
   
5,888
  
Facility
3,212
  
1,609,316
   
26.54 %
   
783
  
Mental Health HPSA Totals
4,627
  
106,389,368
   
44.20 %
(6)
  
3,397
(9)
 
Geographic Area
1,025
  
86,067,293
   
54.00 %
   
1,728
  
Population Group
234
  
18,192,228
   
38.37 %
   
570
  
Facility
3,368
  
2,129,847
   
21.27 %
   
1,099
  
HRSA Data Warehouse
1 of 7
June 24, 2017
Data as of:
01/01/2017

Designated
Health Professional Shortage Areas
Statistics
Table 2. Health Professional Shortage Areas: Rural/Non-Rural Classification as of December 31, 2016
 
           
Practitioners
 
     
Percentage
 
Population
 
Needed to
 
   
Number of
of All
 
of Designated
 
Remove
 
   
Designations
(1)
Designations
(10)
HPSAs
 
Designations
 
Primary Medical HPSA Totals
 
6,626
    
65,898,964
   
9,376
  
Rural
 
3,822
 
57.68 %
  
19,374,968
   
2,626
  
Geographic Area
 
812
 
12.25 %
  
11,300,639
   
1,149
  
Population Group
 
804
 
12.13 %
  
7,502,260
   
1,116
  
Facility
 
2,206
 
33.29 %
  
572,069
   
361
  
Non-Rural
 
2,346
 
35.41 %
  
32,284,751
   
5,045
  
Geographic Area
 
344
 
5.19 %
  
13,324,990
   
1,414
  
Population Group
 
474
 
7.15 %
  
18,314,758
   
3,200
  
Facility
 
1,528
 
23.06 %
  
645,003
   
431
  
Partially Rural (11)
 
450
 
6.79 %
  
14,197,978
   
1,695
  
Geographic Area
 
243
 
3.67 %
  
7,582,822
   
714
  
Population Group
 
207
 
3.12 %
  
6,615,156
   
981
  
Unknown (12)
 
8
 
0.12 %
  
41,267
   
10
  
Geographic Area
 
2
 
0.03 %
  
39,834
   
9
  
Facility
 
6
 
0.09 %
  
1,433
   
1
  
Dental HPSA Totals
 
5,493
    
51,648,901
   
8,118
  
Rural
 
3,163
 
57.58 %
  
16,735,438
   
2,549
  
Geographic Area
 
472
 
8.59 %
  
6,750,898
   
650
  
Population Group
 
898
 
16.35 %
  
9,219,202
   
1,536
  
Facility
 
1,793
 
32.64 %
  
765,338
   
363
  
Non-Rural
 
1,994
 
36.30 %
  
23,487,933
   
3,881
  
Geographic Area
 
136
 
2.48 %
  
5,456,112
   
573
  
Population Group
 
445
 
8.10 %
  
17,191,840
   
2,890
  
Facility
 
1,413
 
25.72 %
  
839,981
   
418
  
Partially Rural
 
328
 
5.97 %
  
11,381,699
   
1,682
  
Geographic Area
 
89
 
1.62 %
  
2,726,365
   
220
  
Population Group
 
239
 
4.35 %
  
8,655,334
   
1,462
  
Unknown
 
8
 
0.15 %
  
43,831
   
6
  
Geographic Area
 
2
 
0.04 %
  
39,834
   
4
  
Facility
 
6
 
0.11 %
  
3,997
   
2
  
Mental Health HPSA Totals
 
4,627
    
106,389,368
   
3,397
  
Rural
 
2,451
 
52.97 %
  
24,850,861
   
948
  
Geographic Area
 
591
 
12.77 %
  
23,096,150
   
548
  
Population Group
 
34
 
0.73 %
  
835,555
   
24
  
Facility
 
1,826
 
39.46 %
  
919,156
   
376
  
Non-Rural
 
1,755
 
37.93 %
  
25,272,213
   
1,231
  
Geographic Area
 
114
 
2.46 %
  
15,080,093
   
261
  
Population Group
 
112
 
2.42 %
  
8,996,340
   
251
  
Facility
 
1,529
 
33.05 %
  
1,195,780
   
719
  
Partially Rural
 
406
 
8.77 %
  
56,205,567
   
1,212
  
Geographic Area
 
318
 
6.87 %
  
47,845,234
   
917
  
Population Group
 
88
 
1.90 %
  
8,360,333
   
295
  
Unknown
 
15
 
0.32 %
  
60,727
   
6
  
Geographic Area
 
2
 
0.04 %
  
45,816
   
2
  
Facility
 
13
 
0.28 %
  
14,911
   
4
  
HRSA Data Warehouse
2 of 7
June 24, 2017
Data as of:
01/01/2017

Designated
Health Professional Shortage Areas
Statistics
 
HRSA Data Warehouse
3 of 7
June 24, 2017
Data as of:
01/01/2017

Designated
Health Professional Shortage Areas
Statistics
Table 3. Primary Care Health Professional Shortage Areas, by State, as of December 31, 2016
              
Primary Care
      
Population of
  
Practitioners
Needed to
 
 
Total
  
Geographic
Population
 
Designated
Percent of
 
Remove
 
 
Designations
(1)
 
Area
Group
Facility
HPSAs
Need Met
(3)
Designation
(6)
HPSA Total
6,626
  
1,401
1,485
3,740
65,898,964
56.77 %
 
9,376
 
Region I
251
  
21
51
179
1,234,173
41.55 %
 
247
 
Connecticut
39
  
0
23
16
403,248
12.50 %
 
121
 
Maine
68
  
13
9
46
91,782
46.29 %
 
16
 
Massachusetts
68
  
4
9
55
487,390
65.34 %
 
58
 
New Hampshire
30
  
1
7
22
88,347
52.11 %
 
14
 
Rhode Island
14
  
1
3
10
152,771
32.75 %
 
37
 
Vermont
32
  
2
0
30
10,635
56.34 %
 
1
 
Region II
258
  
26
88
144
5,051,173
37.47 %
 
1,044
 
New Jersey
33
  
0
0
33
28,823
54.90 %
 
13
 
New York
187
  
23
76
88
3,951,083
38.74 %
 
786
 
Puerto Rico
33
  
0
12
21
958,466
32.37 %
 
217
 
U.S. Virgin Islands
5
  
3
0
2
112,801
24.20 %
 
28
 
Region III
456
  
93
87
276
3,974,419
62.92 %
 
510
 
Delaware
9
  
2
4
3
203,525
93.84 %
 
4
 
District of Columbia
15
  
3
3
9
241,638
50.40 %
 
43
 
Maryland
51
  
9
18
24
981,412
54.89 %
 
169
 
Pennsylvania
159
  
17
27
115
636,095
63.62 %
 
88
 
Virginia
107
  
45
17
45
1,362,052
66.52 %
 
143
 
West Virginia
115
  
17
18
80
549,697
64.73 %
 
63
 
Region IV
1,198
  
260
416
522
16,472,612
56.43 %
 
2,398
 
Alabama
92
  
31
27
34
1,785,257
73.87 %
 
158
 
Florida
258
  
17
112
129
5,034,021
41.25 %
 
1,010
 
Georgia
221
  
59
79
83
2,473,412
54.58 %
 
370
 
Kentucky
151
  
50
25
76
1,000,922
67.59 %
 
106
 
Mississippi
111
  
53
25
33
1,715,873
59.03 %
 
236
 
North Carolina
147
  
18
59
70
1,463,773
53.08 %
 
223
 
South Carolina
93
  
16
30
47
1,512,768
69.40 %
 
156
 
Tennessee
125
  
16
59
50
1,486,586
70.99 %
 
139
 
Region V
1,080
  
210
205
665
10,146,294
64.95 %
 
1,150
 
Illinois
229
  
47
72
110
3,441,097
58.66 %
 
454
 
Indiana
122
  
35
33
54
1,908,814
72.25 %
 
166
 
Michigan
336
  
28
45
263
2,055,475
65.22 %
 
233
 
Minnesota
121
  
29
22
70
421,665
54.41 %
 
64
 
Ohio
141
  
41
12
88
1,360,727
68.96 %
 
145
 
Wisconsin
131
  
30
21
80
958,516
71.12 %
 
88
 
Region VI
928
  
268
173
487
10,035,350
63.77 %
 
1,191
 
Arkansas
86
  
22
38
26
452,614
62.93 %
 
57
 
Louisiana
126
  
40
20
66
1,939,843
77.82 %
 
143
 
New Mexico
104
  
29
10
65
1,015,590
34.02 %
 
216
 
Oklahoma
180
  
10
64
106
1,204,308
54.85 %
 
188
 
Texas
432
  
167
41
224
5,422,995
66.40 %
 
587
 
Region VII
613
  
93
183
337
3,049,877
44.71 %
 
520
 
Iowa
123
  
33
25
65
664,587
63.47 %
 
77
 
Kansas
161
  
19
73
69
660,131
64.33 %
 
71
 
Missouri
219
  
30
85
104
1,696,174
29.53 %
 
367
 
Nebraska
110
  
11
0
99
28,985
41.79 %
 
5
 
Region VIII
494
  
158
99
237
2,313,082
54.89 %
 
328
 
Colorado
120
  
21
38
61
933,956
50.76 %
 
154
 
Montana
112
  
23
28
61
261,129
52.06 %
 
38
 
North Dakota
78
  
45
5
28
182,916
37.52 %
 
30
 
South Dakota
87
  
36
11
40
194,924
44.29 %
 
31
 
Utah
58
  
14
15
29
594,577
67.43 %
 
64
 
Wyoming
39
  
19
2
18
145,580
69.76 %
 
11
 
Region IX
891
  
201
96
594
10,751,154
56.87 %
 
1,524
 
Arizona
163
  
57
8
98
2,829,699
52.47 %
 
422
 
California
607
  
111
77
419
6,702,002
61.99 %
 
851
 
Hawaii
26
  
7
1
18
139,278
52.22 %
 
19
 
Nevada
79
  
18
9
52
590,149
50.43 %
 
99
 
American Samoa
2
  
1
0
1
57,291
10.47 %
 
17
 
Federated States of Micronesia
6
  
3
1
2
106,632
0.00 %
 
36
 
Guam
2
  
1
0
1
186,337
29.79 %
 
44
 
Marshall Islands
2
  
1
0
1
50,638
0.00 %
 
17
 
Northern Mariana Islands
2
  
1
0
1
69,221
43.48 %
 
13
 
Republic of Palau
2
  
1
0
1
19,907
15.06 %
 
6
 
Region X
457
  
71
87
299
2,870,830
50.98 %
 
464
 
Alaska
84
  
16
0
68
136,156
27.25 %
 
35
 
Idaho
98
  
14
29
55
481,772
61.95 %
 
57
 
Oregon
120
  
14
28
78
961,240
56.47 %
 
141
 
Washington
155
  
27
30
98
1,291,662
45.42 %
 
231
 
HRSA Data Warehouse
4 of 7
June 24, 2017
Data as of:
01/01/2017

Designated
Health Professional Shortage Areas
Statistics
Table 4. Dental Health Health Professional Shortage Areas, by State, as of December 31, 2016
              
Dental Health
      
Population of
  
Practitioners
Needed to
 
 
Total
  
Geographic
Population
 
Designated
Percent of
 
Remove
 
 
Designations
(1)
 
Area
Group
Facility
HPSAs
Need Met
(4)
Designation
(7)
HPSA Total
5,493
  
699
1,582
3,212
51,648,901
38.44 %
 
8,118
 
Region I
240
  
23
56
161
1,514,786
37.90 %
 
247
 
Connecticut
36
  
0
21
15
373,887
10.75 %
 
83
 
Maine
75
  
14
21
40
303,187
34.17 %
 
48
 
Massachusetts
61
  
7
4
50
536,399
52.30 %
 
70
 
New Hampshire
23
  
0
3
20
30,449
62.23 %
 
4
 
Rhode Island
17
  
0
7
10
242,875
41.17 %
 
40
 
Vermont
28
  
2
0
26
27,989
70.56 %
 
2
 
Region II
205
  
7
38
160
2,350,344
42.11 %
 
374
 
New Jersey
38
  
0
0
38
45,705
25.96 %
 
23
 
New York
139
  
3
38
98
2,178,679
44.38 %
 
324
 
Puerto Rico
23
  
1
0
22
13,159
16.13 %
 
4
 
U.S. Virgin Islands
5
  
3
0
2
112,801
17.16 %
 
23
 
Region III
411
  
52
125
234
4,479,231
43.69 %
 
625
 
Delaware
8
  
2
3
3
381,733
33.28 %
 
56
 
District of Columbia
11
  
0
2
9
75,252
12.75 %
 
17
 
Maryland
42
  
8
15
19
507,828
55.08 %
 
58
 
Pennsylvania
164
  
4
56
104
1,997,447
38.98 %
 
310
 
Virginia
87
  
21
35
31
1,074,667
45.39 %
 
138
 
West Virginia
99
  
17
14
68
442,304
60.02 %
 
46
 
Region IV
1,062
  
142
451
469
16,759,532
31.23 %
 
2,930
 
Alabama
63
  
0
43
20
1,668,274
27.04 %
 
303
 
Florida
232
  
0
115
117
5,516,371
15.90 %
 
1,203
 
Georgia
189
  
44
76
69
1,869,471
27.03 %
 
356
 
Kentucky
100
  
13
16
71
479,580
61.24 %
 
41
 
Mississippi
110
  
56
23
31
1,773,030
55.61 %
 
201
 
North Carolina
140
  
2
71
67
2,062,101
41.75 %
 
305
 
South Carolina
83
  
21
17
45
1,526,622
52.77 %
 
180
 
Tennessee
145
  
6
90
49
1,864,083
26.08 %
 
341
 
Region V
875
  
29
314
532
6,909,595
37.80 %
 
1,100
 
Illinois
166
  
8
75
83
2,263,991
30.07 %
 
403
 
Indiana
55
  
6
12
37
545,408
49.81 %
 
73
 
Michigan
270
  
1
60
209
903,749
40.04 %
 
134
 
Minnesota
126
  
9
64
53
718,368
43.59 %
 
102
 
Ohio
134
  
5
59
70
1,622,436
38.24 %
 
254
 
Wisconsin
124
  
0
44
80
855,643
41.89 %
 
134
 
Region VI
747
  
183
150
414
8,366,794
54.15 %
 
969
 
Arkansas
82
  
10
50
22
651,536
46.88 %
 
88
 
Louisiana
112
  
36
18
58
1,857,113
59.00 %
 
191
 
New Mexico
82
  
21
16
45
852,391
33.36 %
 
138
 
Oklahoma
162
  
6
59
97
890,441
38.87 %
 
150
 
Texas
309
  
110
7
192
4,115,313
61.08 %
 
402
 
Region VII
517
  
65
195
257
2,664,290
32.67 %
 
430
 
Iowa
120
  
11
54
55
461,127
53.14 %
 
54
 
Kansas
133
  
25
62
46
608,847
41.61 %
 
79
 
Missouri
184
  
28
77
79
1,588,121
22.81 %
 
297
 
Nebraska
80
  
1
2
77
6,195
84.62 %
 
0
 
Region VIII
363
  
75
90
198
1,665,789
44.31 %
 
225
 
Colorado
97
  
19
29
49
595,506
35.56 %
 
99
 
Montana
85
  
11
18
56
189,971
34.12 %
 
27
 
North Dakota
36
  
15
2
19
70,466
31.17 %
 
9
 
South Dakota
64
  
21
12
31
146,346
26.39 %
 
25
 
Utah
52
  
4
23
25
593,221
59.86 %
 
59
 
Wyoming
29
  
5
6
18
70,279
62.51 %
 
6
 
Region IX
700
  
92
69
539
4,324,917
32.19 %
 
803
 
Arizona
177
  
61
19
97
2,361,621
31.01 %
 
432
 
California
424
  
13
40
371
1,182,592
35.95 %
 
230
 
Hawaii
19
  
1
1
17
35,776
33.88 %
 
7
 
Nevada
65
  
9
9
47
463,692
42.44 %
 
67
 
American Samoa
2
  
1
0
1
57,291
8.38 %
 
13
 
Federated States of Micronesia
6
  
4
0
2
107,020
0.00 %
 
27
 
Guam
1
  
0
0
1
 
---
   
Marshall Islands
2
  
1
0
1
27,797
0.00 %
 
7
 
Northern Mariana Islands
2
  
1
0
1
69,221
15.61 %
 
15
 
Republic of Palau
2
  
1
0
1
19,907
0.00 %
 
5
 
Region X
373
  
31
94
248
2,613,623
37.30 %
 
415
 
Alaska
62
  
13
0
49
139,786
44.48 %
 
19
 
Idaho
95
  
6
37
52
454,896
50.53 %
 
56
 
Oregon
102
  
3
33
66
1,015,311
37.40 %
 
161
 
Washington
114
  
9
24
81
1,003,630
30.30 %
 
179
 
HRSA Data Warehouse
5 of 7
June 24, 2017
Data as of:
01/01/2017

Designated
Health Professional Shortage Areas
Statistics
Table 5. Mental Health Care Health Professional Shortage Areas, by State, as of December 31, 2016
              
Mental Health Care
      
Population of
  
Practitioners
Needed to
 
 
Total
  
Geographic
Population
 
Designated
Percent of
 
Remove
 
 
Designations
(1)
 
Area
Group
Facility
HPSAs
Need Met
(5)
Designation
(8)
HPSA Total
4,627
  
1,025
234
3,368
106,389,368
44.20 %
 
3,397
 
Region I
195
  
26
8
161
4,032,108
44.26 %
 
135
 
Connecticut
30
  
7
3
20
2,709,490
34.26 %
 
95
 
Maine
52
  
13
0
39
289,899
34.71 %
 
8
 
Massachusetts
56
  
1
4
51
497,676
51.89 %
 
20
 
New Hampshire
20
  
3
0
17
92,770
94.92 %
 
0
 
Rhode Island
13
  
2
1
10
442,273
61.17 %
 
12
 
Vermont
24
  
0
0
24
 
---
   
Region II
235
  
20
48
167
4,544,338
42.47 %
 
163
 
New Jersey
36
  
0
0
36
32,755
71.51 %
 
4
 
New York
162
  
16
46
100
4,105,222
40.97 %
 
147
 
Puerto Rico
32
  
1
2
29
293,560
45.14 %
 
6
 
U.S. Virgin Islands
5
  
3
0
2
112,801
16.49 %
 
6
 
Region III
357
  
61
18
278
6,307,229
58.86 %
 
165
 
Delaware
10
  
0
1
9
72,651
8.12 %
 
9
 
District of Columbia
10
  
1
0
9
129,762
49.31 %
 
3
 
Maryland
51
  
11
9
31
1,431,003
63.34 %
 
30
 
Pennsylvania
122
  
25
1
96
1,832,032
60.84 %
 
44
 
Virginia
74
  
16
5
53
1,922,845
57.75 %
 
57
 
West Virginia
90
  
8
2
80
918,936
60.28 %
 
22
 
Region IV
683
  
141
74
468
24,330,329
45.74 %
 
751
 
Alabama
52
  
14
7
31
2,787,269
46.23 %
 
82
 
Florida
165
  
23
31
111
5,425,381
25.75 %
 
254
 
Georgia
103
  
21
4
78
5,055,810
42.95 %
 
137
 
Kentucky
100
  
30
2
68
1,988,983
56.45 %
 
48
 
Mississippi
44
  
13
0
31
2,342,728
74.66 %
 
59
 
North Carolina
103
  
19
8
76
1,546,672
38.19 %
 
45
 
South Carolina
48
  
10
8
30
1,800,029
55.05 %
 
42
 
Tennessee
68
  
11
14
43
3,383,457
39.42 %
 
84
 
Region V
747
  
176
20
551
17,705,963
43.40 %
 
635
 
Illinois
126
  
32
5
89
4,993,948
68.39 %
 
71
 
Indiana
66
  
19
5
42
2,526,300
39.86 %
 
119
 
Minnesota
62
  
9
0
53
2,014,037
29.86 %
 
69
 
Michigan
252
  
48
3
201
3,826,298
44.54 %
 
106
 
Ohio
107
  
18
7
82
2,096,001
53.23 %
 
55
 
Wisconsin
134
  
50
0
84
2,249,379
25.22 %
 
215
 
Region VI
762
  
297
21
444
15,657,841
41.87 %
 
517
 
Arkansas
44
  
13
0
31
1,733,004
62.01 %
 
32
 
Louisiana
118
  
52
7
59
2,866,661
40.61 %
 
84
 
New Mexico
72
  
16
2
54
1,211,555
23.09 %
 
45
 
Oklahoma
116
  
4
9
103
1,536,823
23.87 %
 
85
 
Texas
412
  
212
3
197
8,309,798
45.25 %
 
271
 
Region VII
329
  
51
9
269
6,767,281
45.09 %
 
176
 
Iowa
71
  
16
0
55
1,694,314
59.98 %
 
30
 
Kansas
68
  
20
1
47
1,245,491
34.69 %
 
38
 
Missouri
107
  
10
8
89
2,810,768
35.79 %
 
100
 
Nebraska
83
  
5
0
78
1,016,708
75.57 %
 
8
 
Region VIII
328
  
93
7
228
6,216,965
54.27 %
 
139
 
Colorado
88
  
11
2
75
1,941,571
62.95 %
 
35
 
Montana
80
  
23
4
53
528,561
25.21 %
 
18
 
North Dakota
51
  
27
0
24
267,910
44.79 %
 
12
 
South Dakota
49
  
15
0
34
459,320
15.25 %
 
22
 
Utah
38
  
12
1
25
2,496,750
61.74 %
 
45
 
Wyoming
22
  
5
0
17
522,853
71.69 %
 
7
 
Region IX
652
  
87
21
544
15,075,866
34.06 %
 
566
 
Arizona
102
  
6
0
96
6,364,642
20.99 %
 
241
 
California
453
  
59
20
374
6,563,273
37.39 %
 
252
 
Hawaii
27
  
8
1
18
295,813
54.17 %
 
7
 
Nevada
55
  
6
0
49
1,439,340
54.00 %
 
53
 
American Samoa
2
  
1
0
1
57,292
0.00 %
 
3
 
Federated States of Micronesia
6
  
4
0
2
107,020
0.00 %
 
6
 
Guam
2
  
1
0
1
159,358
58.97 %
 
3
 
Marshall Islands
1
  
0
0
1
 
---
   
Northern Mariana Islands
2
  
1
0
1
69,221
86.96 %
 
0
 
Republic of Palau
2
  
1
0
1
19,907
0.00 %
 
1
 
Region X
339
  
73
8
258
5,751,448
46.26 %
 
150
 
Alaska
68
  
18
0
50
330,781
18.91 %
 
13
 
Idaho
61
  
7
0
54
1,532,205
55.16 %
 
27
 
Oregon
90
  
17
4
69
1,661,514
51.24 %
 
45
 
Washington
120
  
31
4
85
2,226,948
42.37 %
 
65
 
HRSA Data Warehouse
6 of 7
June 24, 2017
Data as of:
01/01/2017

Designated
Health Professional Shortage Areas
Statistics
 
Endnotes
 
(1)
The number of designations includes HPSAs that are proposed for withdrawal (P) and HPSAs that have no data (N). Designations are not withdrawn until a Federal Register Notice is published, generally once a year on or around July 1.
 
(2)
The figure reported for the Population of Designated Facility HPSAs for both Primary Care and Dental reflects the number of internees in designated correctional facilities. The figure reported for the Population of Designated Facility HPSAs for Mental Health reflects the number of internees in designated correctional facilities, as well as the average daily inpatient census for state and county mental hospitals designated after September 1, 2015. For reports generated prior to September 1, 2015, the Population of Designated Facility HPSAs for all disciplines included populations served by other public or non-profit facilities. These are facilities that qualify for HPSA designation by demonstrating that even though they are not located in a geographic or population HPSA, they serve the populations of geographic and population HPSAs. As a result, these populations were potentially double counted.
 
(3)
The figure reported for Percent of Need Met for facility HPSAs includes correctional facilities and state mental hospitals. It excludes facilities not located in a HPSA that are designated based on providing services to the population of a geographic or population HPSA. It also excludes facilities automatically designated based on statute, including health center program grantees, Federally Qualified Health Center Look Alikes, Indian Health Service facilities, and rural health clinics that meet National Health Service Corps (NHSC) site requirements.
 
(4)
The percent of need met is computed by dividing the number of primary care physicians available to serve the population of the area, group, or facility by the number of primary care physicians that would be necessary to reduce the population to provider ratio below the threshold for designation so that it would eliminate the designation as a primary care HPSA. Federal regulations stipulate that, in order to be considered as having a shortage of providers, a designation must have a population-to-provider ratio that meets or exceeds a certain threshold. For primary care geographic designations, the population to provider ratio must be at least 3,500 to 1. For primary care population designations or geographic designations in areas with unusually high needs, the threshold is 3,000 to 1. For correctional facilities, the threshold is 1,000:1 and takes into account the average length of stay, and whether or not intake examinations are routinely performed.
 
(5)
The percent of need met is computed by dividing the number of dentists available to serve the population of the area, group, or facility by the number of dentists that would be necessary to reduce the population to provider ratio below the threshold for designation so that it would eliminate the designation as a dental HPSA. Federal regulations stipulate that, in order to be considered as having a shortage of providers, a designation must have a population-to-provider ratio that meets or exceeds a certain threshold. For dental geographic designations, the ratio must be at least 5,000 to 1. For dental population designations or geographic designations in areas with unusually high needs, the threshold is 4,000 to 1. For correctional facilities, the threshold is 1,500:1 and takes into account the average length of stay, and whether or not intake examinations are routinely performed.
 
(6)
The percent of need met is computed by dividing the number of mental health providers available to serve the population of the area, group, or facility by the number of mental health providers that would be necessary to reduce the population to provider ratio below the threshold for designation so that it would eliminate the designation as a mental health HPSA. Federal regulations stipulate that, in order to be considered as having a shortage of providers, a designation must have a population-to-provider ratio that meets or exceeds a certain threshold. Mental health designations may qualify for designation based on the population to psychiatrist ratio, the population to core mental health provider (psychiatrists, clinical psychologists, clinical social workers, psychiatric nurse specialists, and marriage and family therapists) ratio, or the population to both psychiatrist and core mental health provider ratios. For mental health geographic designations based on the ratio of population to psychiatrist ratio, the designation must have a ratio of 30,000 to 1, while for population designations or geographic designations in areas with unusually high needs, the threshold is 20,000 to 1. For mental health geographic designations based on the ratio of population to core mental health providers, the designation must have a ratio of 9,000 to 1, while for population designations or geographic designations in areas with unusually high needs, the threshold is 6,000 to 1. For mental health geographic designations based on the ratios of both population to psychiatrist and population to core mental health providers, the designation must have ratios of 20,000 to 1 (psychiatrists) and 6,000 to 1 (core mental health providers), while for population designations or geographic designations in areas with unusually high needs, the thresholds are 15,000 to 1 (psychiatrists) and 4,500 to 1 (core mental health providers). For correctional facilities, the threshold is 2,000:1 and takes into account the average length of stay, and whether or not intake examinations are routinely performed. For state mental hospitals, the calculation is based on workload units, which are a function of the average daily inpatient census and the number and type of admissions. For correctional facilities and state mental hospitals, psychiatrists are the only provider type counted.
 
(7)
The number of additional primary care physicians needed to achieve a population-to-primary care physician ratio below the thresholds necessary for designation in all designated primary care HPSAs that would result in their removal from designation. The formula used to designate primary care HPSAs does not take into account the availability of additional primary care services provided by nurse practitioners and physician assistants in an area. The figure reported for Practitioners Needed To Remove Designations for facility HPSAs includes correctional facilities. It excludes facilities not located in a HPSA that are designated based on providing services to the population of a geographic or population HPSA. It also excludes facilities automatically designated based on statute, including health center program grantees, Federally Qualified Health Center Look Alikes, Indian Health Service facilities, and rural health clinics that meet NHSC site requirements.
 
(8)
The number of additional dentists needed to achieve a population-to-dentist ratio below the thresholds necessary for designation in all designated dental HPSAs that would result in their removal from designation. The figure reported for Practitioners Needed To Remove Designations for facility HPSAs includes correctional facilities. It excludes facilities not located in a HPSA that are designated based on providing services to the population of a geographic or population HPSA. It also excludes facilities automatically designated based on statute, including health center program grantees, Federally Qualified Health Center Look Alikes, Indian Health Service facilities, and rural health clinics that meet NHSC site requirements.
 
(9)
The number of additional mental health providers needed to achieve a population-to-provider ratio below the thresholds necessary for designation in all designated mental health HPSAs that would result in their removal from designation. While the regulations allow mental health HPSA designations to be based on the psychiatrist to population ratio, the core mental health provider to population ratio, or both in conjunction, most mental health HPSA designations are currently based on the psychiatrists only to population ratio. If a HPSA designation is based on the ratio of population to psychiatrists only, it does not take into account the availability of additional mental health services provided by other mental health providers in the area, such as clinical psychologists, clinical social workers, psychiatric nurse specialists, and marriage and family therapists. The figure reported for Practitioners Needed To Remove Designations for facility HPSAs includes correctional facilities and state mental hospitals. It excludes facilities not located in a HPSA that are designated based on providing services to the population of a geographic or population HPSA. It also excludes facilities automatically designated based on statute, including health center program grantees, Federally Qualified Health Center Look Alikes, Indian Health Service facilities, and rural health clinics that meet NHSC site requirements.
 
(10)
Percentages of all designations classified as rural/non-rural are calculated by dividing the number of designations for the specified subcategory by the total number of designations for each discipline type and multiplying the result by 100. Due to decimal rounding, percentage totals may not equal exactly 100%.
 
(11)
Partially rural designations are those made up of geographic components that have a mixture of rural, non-rural, and unknown statuses.
 
(12)
Designations of unknown rural status may include 1) facility HPSAs whose precise location could not be located on a map (i.e. geocoded) or 2) geographic or population group HPSAs that are made up of some or all areas for which rural status is undefined. Rural status may be undefined where rural information or underlying geographic reference data for administrative boundaries is unavailable for the specified geographic area.
   
HRSA Data Warehouse
7 of 7
June 24, 2017
Data as of:
01/01/2017